Solved

A 25-Year-Old Man with No Past Medical History Comes to His

question 405

Multiple Choice

A 25-year-old man with no past medical history comes to his primary care physician for follow-up after a seizure episode 1 week ago. According to his coworkers, he suddenly lost awareness and began having semi-purposeful movements of his right hand. A few seconds later, he fell and had generalized tonic-clonic movements of his arms and legs. The event lasted about 2 minutes and was followed by at least 20 minutes of confusion and lethargy. The patient woke up in the ambulance and had no memory of the event. He admits that 30 seconds before the seizure he had a feeling of uneasiness in his stomach. He has no history of similar events, head trauma, central nervous system infections, or family history of seizures. He takes no medications at home. He works as an accountant and does not use alcohol, tobacco, or illicit drugs.
His vital signs are within normal limits. Physical examination is unremarkable. In the emergency department, the patient had a normal laboratory workup, urine drug screen, and noncontrast head computed tomography.
Which of the following is the best next step in management of this patient?

Definitions:

Social Cognitive Theorist

A psychologist or scholar who studies how people learn by observing others, emphasizing the importance of beliefs and attitudes in motivation.

Genetic Predisposition

The increased likelihood of developing a particular disease or trait based on a person's genetic makeup.

Personality Defects

Negative or undesirable traits in an individual's character or behavior, often impacting social interactions or personal growth.

Unresolved Conflicts

Issues or disagreements between parties that remain without resolution, potentially leading to ongoing tension or disputes.